Representative Grant Funding Applications · 10/10/2017 · MOMCC Winter Cup 2014. 2016 Challenge Shield 2016 Chris Wells Memorial 2017 (Best upcoming junior) • ^ IXION EDUCATION

mk r i .

tk^* Sfc •I*

«L1. It'' L' »,

\ 1

nj '>

f D V •s i H

• j i I L _I i mm

S* 11 >

I I V If }

\

l: £•• ' , r "

i . : < 'S.-m : v

- ~i l

. -:: '

Representative Grant Funding Applications

Community Funding Committee

10 October 2017

Representative Fund Applications

Item Applicant Page No

7.13 Representative Fund Application - Rushworth, Hannah 3

7.14 Representative Fund Application - Pettersson, Jack 11

7.15 Representative Fund Application - FAHS Feilding High School U15Boys Rugby 7s Team

16

7.16 Representative Fund Application - FAHS Feilding High School U19 26

7.17 Representative Fund Application - Claasen, Angus 36

IN DOC No

FILENO.: 0„

Representative Grant Application Form #

Purpose

The purpose of Representative Grant is to provide financial support for those Manawatu District residents who have been selected to represent the district, region or New Zealand in the field of arts, sport or culture to enable them to participate and to be an effective ambassador in our community.

1. Applicant Details

| O f ) r a^ fWortfAse.4 U -K Full name - / O S

-

c l t o %Lf. Daytime phone number

Street/PO Box |//7 £[)G

Po Not fin Town Postcode

/|oor)Q /-, S)SU,- Co• /^ 5 Email

2. Event Information (please attach additional sheets if required)

Provide a brief description of the event you or your team/group have been selected for, including the date the event is to begin and the venue where the event is to take place. Please attach documentation confirming your selection

PltJMLdl

Regional Event Name: I^Q-ho CUc»A^P'Or<,Lp

30 Sepi Zotl - hi Och 2o/? National Event Date:

/ Pldelp'dt, International Event Location:

fW Page 1 Representative Grant Application Form

Event Description:

1 hew*. Stl-cd-tc* Ol J 0-f O Jro„p o-f 2

lea(c\rcJ^(S -ho reprt -f co -hy o+ tUc Oce.

CUtnp.ors*;^ ^ (ê

Jo c -tto™ ct -fat -hf ?

r<'dc f f Oi p o / 0 - f - fU t A-u<-f<a£,Cs> /Vio/o-^' ^ / f C^t/V,piosy <l»f

/-/ l^'H -i'lsvO -fx* tI cfoyt of rid'rCl -Ibof / -fee I

p-S'^ (Ucjsd -/-e bt Q o-f.

c,^,

u/f

fVlo-fa - A-, c%/r ! O

;

How will your attendance at the event contribute to the Manawatu District Council vision "connected, vibrant, thriving Manawatu - the best rural lifestyle in New Zealand" and the Regional Development Strategy aim "the best place to raise a family"? (Note: visit www.mdc.aovt.nz to get further Information on Council's vision and outcomes)

j f / j Sy c<^€^divcj Hi't 7 (x-kct/e. ^ J J

Q ffl** * cfX **1 "ft*-* pojÂ-b'ci f / Ixotse. Q;

/He

C{ r /dc . fy\ofci - 's potf-bLy fU*-

fiAOfe>r$pOs+. fj ,'f ptr-Ptcf P0'^

fwchr hf'tcc c/- / t^/Oi^fcf fose. -b 5ce cti-foft-* / fGcti'e_r

postfbfe.. / "f-C'C. / 3kou / c>t fa s- ,i ^ ^

^ - Ar.'a/f r'r q/ csC/y 1*,' f/s0 y yy

Le&rr> ,'rQ si ^ C s \c

/-

r J Of

l / CCc Vf Sfcfj

c f 'ST^ 'c / fxO^hly «=> of Z" - '-f/c ot cA y Ôj-Jl t. l/y c«s. y c

^/vi pG 'S oS /he /\g^/ Cfc yQ /7>/^ 0-f r,'cJe.ri

rm 'I * fJHr CviC({* uy Ski'((id by s.cJ.'/y

cJt'ff<rt/ l { C<?c*^°* C4ô/.he„f c0„ /oc/>**A.

A. ^ 7

Page 2

'A

3. Financial Information

%ljr$00 What is the total cost to attend the event

$ £)CO What level of funding are you requesting from Council?

Tell us about any other funding you have applied for or received for this event.

Date of result Amount Type of funding e.g. grant

Source of funding Date applied Applied or Confirmed

-T&ft 2 2 - ^

cis -tj j $ ôo \ T -

s

4. Declaration

0^ The details in all sections of the application are true and correct to the best of my knowledge.

E3 All reasonable information has been provided to support our application.

We understand that the Manawatu District Council:

0 Is bound by the Local Government Official Information and Meetings Act 1987.

We also consent to it recording the personal contact details provided in this application, retaining and using these details.

0 We understand that our name and brief details about the event and where appropriate, a photograph, may be released to the media or appear in Council documentation.

Pi This consent is given in accordance with the Privacy Act 1993.

fM Representative Grant Application Form Page 3

Signatory of applicant

H On rah ^ Name

Signature

9^ Date

5. Conditions of Funding

• Council must be acknowledged as a partner and funder.

All recipients of funding agree to provide a brief verbal report to Council, as part of its Public Forum, on the benefits of their participation at the specified event

If possible, an appropriate photograph to be provided with the application that may be used in Council publications.

6. Final Check

Make sure you have

Completed all the sections

Provided financial details

Attached supporting/selection documents

7. Need Help?

Please contact the following if you need advice on your application;

Janine Hawthorn Community Development Adviser Manawatu District Council Private Bag 10-001 Feilding 4743 Telephone 06 323 0000 Email: [email protected]

m Page 4 Representative Grant Application Form

n

Hannah Rushworth V: c rg rm

% • DoB: 16-1-2003

Age: 14 117 Green Road, Palmerslon North [email protected]

OBJECTIVE To represent NZ at the 2017 FIM Oceania Moto Trials Championship. (Part of a three-person team) This is run in conjunction with the 2017 Australian Trial Championship in Adelaide, South Australia, Sept SO"1- Oct 1st 2017

•y m..*

V. I RECENT COMPETITION HISTORY 2017 North Island Champs ST 2™ Women, 4" Junior. 10" Intermediate 2017 Kaikoura 3 Day 3,a-5,h June * *r-. s

I51 Women, I51 Junior. 8'n Intermediate A 2016 NEW ZEALAND CHAMPS (Marlborough)

2nd Women, 3'° Sportsman (Green Line)^"1 Junior r~ '

2016 North Island Champs Is' Women. 2M Junior, T" Intermediate B

2016 Kaikoura 3 Day 4m-6th June V,

I51 Woman, S"1 Junior, le'" Intermediate 2015 NEW ZEALAND CHAMPS (Taranaki)

3'a Women, 4"h Junior, 9'n Clubman 2015 North Island Champs

Is' Women. S10 Junior, S"1 Clubman

& CLUB AWARDS MOMCC Winter Cup 2014. 2016

Challenge Shield 2016 Chris Wells Memorial 2017 (Best upcoming junior)

• ^

IXION

EDUCATION Home schooled r

tg,

m i w OTHER INTERESTS '.JSg

Reading, music, & movies Playing guitar Maintaining my bike Msil 1 L

FUTURE GOALS V

• 2017: Finish in the top half of the Intermediate grade at the NZ Nationals in October

• 2018: Set a club trial by myself. • 2019: Ride A Grade in the NZ Nationals.

Encourage more women to join the sport.

l y f t f k

M

oi < •

i <'v !"^v~

• iM —-

Moto Trials Commissioner Sandra Hallie 5 Ascot Place Arlington Place Rangiora, 7400 NORTH CANTERBURY

Wednesday 30th August 2017

To Whom It May Concern,

It is with much pleasure that I can confirm that Hannah Rushworth has been selected to represent New Zealand competing in Moto Trials at the Vine Inn Barossa 2017 Australian Trial Championship, featuring the 2017 FIM Oceania Trial Championship.

I would be honoured to recommend any help that Hannah receives for her trip to Australia and I am sure that she will make her district, family and the Moto Trials Community very proud.

Kind regards

Sandra Hallie MNZ Moto Trials Commissioner

J fw

'••J f/ »

k x

'f--ifr

\

r-nlfe

I

& •:.? '

m ~ ' -yv,;.

•S:»' it L-. ', • IM ).

pBHiiWft *•«• • mi : mm - .

EH —i

,. iv p.. ; ri' ;i-I JT.

«g; '{vj

«i "•••^

s«? \ - \ n ' * ul • "S. .«>•'• » « • -

'p.

•SfcinSr

r ipj EV-•f

••Sfi ••Wr • € —^

1P3 ^ -•%h:--s:

se. «r

t , .i- . '•oS;

Su-% ,

:••'

i

'3J 1 k

TL

v j

h

i y* l *4 *• <9M|P t

•;.., -Sff w -

» > _

- -

K- JJt~ • // // Mr.

If* S jMSjd ' •

. 9

Bs '

'i? .*.. mmmm.-.r

•V ft ji? a

M;; i n f.' s iai .ts

*>3

'• r ; :• _JU*

t \ \% '• i<l ' ' • - 1 *

v SH

& I '-'i &M • '.# 'ffieT "

\ w -. . V v-r :«

i aJui £:.£.

&.•":

k » ' "i

rm K ij v«:

B2! ?» :i 3? i-;.

mSSm* fm .-.iP» l# v. A . JM • •

v- $«

Oyife^î-S •f- " *Te-'-

.iB 0. '

: ui

fc Sa*

.. -.'. •j_ 'i'

* : .msk:- -s •.• mtsm 1 sT

k '• > - , i ' .

cjf'

£ " • ^V' gg *' " J

.Wm&t

*1 ' , " . ' •

W

hNDQCô VTAQS^ RECEIVED

0 5 SEP 2017 oqT Q _ FILE No.;

Maiwwatu District Council

Representative Grant Application Form

Purpose

The purpose of Representative Grant is to provide financial support for those Manawatu District residents who have been selected to represent the district, region or New Zealand in the field of arts, sport or culture to enable them to participate and to he an effective ambassador in our community.


Jack-Full name

02^L t5e to ^L|.L\ Daytime phone number

f o 5,0* Aot Street/PO Box

Town Postcode

: [ 1 ' 'fv I Clc I in J - c<j ^ 1_ Email


Provide a brief description of the event you or your team/group have been selected for, including the date the event is to begin and the venue where the event is to take place. Please attach documentation confirming your selection

F!-ase tick

Event Name: Regional

Event Date: National

M t A b o u l V\J Event Location: International

fW Representative Grant Application Form Page 1

Event Description:

Wflf in IQ U v 11/(

ut^M.

/n H. Ill fit' I .-•i/i v-^ /

w / Ls A

i/Mjj uyi1

i-o (.&( Ac A tit. [suru'v-^

" pitviu,,^^

Ac A 01B '•VIÎ ( / o ^ ) /V\£-//bOt^nAj

( 4 -vVi 4. f d j O p f A CX> V V:I No C-i & 1 n " ^/y

How will your attendance at the event contribute to the Manawatu District Council vision "connected, vibrant, thriving Manawatu - the best rural lifestyle in New Zealand and the Regional Development Strategy aim "the best place to raise a family'? (Note: visit www.mdc.Qovt.nz to get further information on Council's vision and outcomes)

CL K/OU tfeWfNS (yUii iMirw h J j t

M/i

-fo p OiAi , cAy\i\(?Lvoirt p A vhc tp si h-e p^y I - i"--' o

v/A/ ' V e u acu i cv<_ ka b-tc-Ov^ Kc

& u \

CAI^ -(-v^ > u i W & l j AJ^ y Lc d u o M

h-tL&i^xe (JJPA u-Cv

y \ j i Vl&lly ^v'-f h-ciji I S iAVAl hfÛf^jlc 0\\d OKAv Oti 11 d y\4. IA

1A/|// p o v h -py 'hA^M/ i-tAlsn

-h"W_ uên-f hut^J . "Ki

nvNOCf ^ 1<3 C^TTT t-vi (M /KX-I 1/ ^\5 ^vvoC : m Page 2 Representative Grant Application Form


$ Z t f o O - ' O O What is the total cost to attend the event

$ SOO'OO What level of funding are you requesting from Council?

Tell us about any other funding you have applied for or received for this event. Pv vt iniz

Date of result j Amount Applied or Confirmed

Source of funding Type of Date applied funding e.g. grant

$

$

$

4. Declaration

The details in all sections of the application are true and correct to the best of my knowledge.

All reasonable information has been provided to support our application.


• Is bound by the Local Government Official Information and Meetings Act 1987.

Q We also consent to it recording the personal contact details provided in this application, retaining and using these details.

We understand that our name and brief details about the event and where appropriate, a photograph, may be released to the media or appear in Council documentation.

This consent is given in accordance with the Privacy Act 1993.

IP Representative Grant Application Form Page 3


Name Vj ' iOO

f r Signature g A

T Date '•J



All recipients of funding agree to provide a brief verbal report to Council, as part of its Public Forum, on the benefits of their participation at the specified event.

If possible, an appropriate photograph to be provided with the application that may be used in Council publications.

6. Final Check

Make sure you have

| | Completed all the sections

I | Provided financial details

i I Attached supporting/selection documents

7. Need Help?

Please contact the following if you need advice on your application:


m Representative Grant Application Form Page 4

Melbourne Trip Breakdown

Flights $690 Accommodation $750 Van $100 Tournament fees x2 $160 Academy Fees $400 Food $400 Petrol $50 Theme Park $80 Melbourne Park $80 Coach - $250 Extra Parent - $200 (Loss on Conversion rate - $230)

Total $3160 Parents paying $2900

IN DOC No

RLE No.:

FAHS Feilding High School

T: (06) 40>» F: (1)6) ^23 9359

E: adnun^feildinghi, } *

.o SBS Chunher Stiwl Feilding 4702. New Zealand

Principal: Mr M.J. CVCradN jP B.Agr, PGDipTdA.innnl-Md, l)ip.T*hg

Manawatu District Council, Private Bag 10-001 Feilding 4743

12,h September 2017

Dear Sir/madam.

On behalf of FAHS - Feilding High School we wish to present an application towards helping us

fund travel costs associated with helping our Boys' U15 rugby 7's team attend the National

Secondary Schools 7's Finals in Auckland from 29th November- 2nd December 2017.

Who we are: FAHS - Feilding High School was formed in 1921 and serves the educational needs of high school students in Feilding and its surrounding rural areas. The school has a roll of 1400. and works with the mission of providing the foundation of learning for life. All students arc given an education that enhances their learning, builds on their needs and respects their dignity. This education challenges them to achieve personal standards of excellence and to reach their full potential.

FAHS - Feilding High School has a reputation for offering a wide variety of sports opportunities for students with excellent facilities and high quality coaching. This has resulted in students engaging in sport and competing at a high level both locally and nationally, and developing fine leadership, teams-man-ship and self-motivational qualities.

What we want to achieve:

To send our boys' U15 rugby 7's team to participate in a national event that will see

them compete at a high level, increase their skills and learn and grow as a team.

What we would like your partnership with: Helping us cover costs for transport to the even! which would significantly reduce parental contribution and fundraising efforts which may be a barrier to participation.

In support of this application I include the following documents:

1. Budget 2. Quote 3. Seleetion Documentation. 4. Bank deposit slip.

Thank you very much for the opportunity to apply to the fund. We sincerely hope that you find yourselves in the position to support us.

If there are any questions regarding this application, please contact me on 06 323 4029.

Yours sincerely

fi JyrytltM. IL /

MARTIN O'GRADY Principal

Representative Grant

Application Form

Purpose

The purpose of Representative Gr.mt is to residents who have been selected to represent arts, sport or culture to enable them to participate and to be an community.

provide financial support for those Manawatu bistrict the district, region or New Zealand in the field i t

effective ambassador in our

Applicant Details

. n ame

0 G ^y t me ne number

jSti cet/PO liox

Ur'T'X postcode Town

\ ^ 1 (A^' > S I? \ ^klHVf'4 O U\ iHtnail ii.

Event Information (please attach ; dditional i.heets if required)

Provide a brief description of the event you or your team/group have been selected tor, including the date the event is to begin and the venue where the event is to take place. Please attach documentation confirming your selection

Regional

In F(*yA«-S k/a^/ - A ^

iS -nO' MJLLL- u

j Event Name:

National i Event Dale:

International i Event Loc ition:

Page 1 Representative Grant Application Form

Event Description:

The Condors National Secondary School 7's Finals is a high level competition attended by almost 100

schools across the country. The competition has a rich 25 year old history and was originally

established 'to promote and foster the coaching of schoolboy and junior rugby in New Zealand'.

Feilding High will be sending a boys U15s and U19's squad as part of this competition. ' his highlights

the depth and strength of boys rugby in PAHS, being able to field teams in both grades, which no

other Manawatu team was able to achieve.

Teams are eligible to participate in the National tournament by achieving qualification in the

regional tournament, which in Manawatu is held in March, The boys were the victors of this regional

competition and for the first time have qualified for the national compel tion.

Play is of an exceptionally high standard giving players valuable national experience where they are

pitted against some of the best players in the country and given the opportunity to grew as people,

as players and as a team. A tournament of this calibre also enables boys to experience travel within

New Zealand, that otherwise they may not be able to achieve.

How will your attendance at the event contribute to the Manawatu District Council vision

"connected, vibrant and thriving Manawatu - the best rural lifestyle in New Zealand" and to the

Regional Development Strategy aim "the best place to raise a family" ( Note: visit

mdc.gov'.r^. to get further information on the Council's vision and outcomes) A WW

Feilding High-FAHS has an immense reputation for its quality of rugby for both male and female

players. Giving young players the opportunity to attend events such if these on a national level gives

them a forum to demonstrate the quality of play a small rural town can nurture and showcase this to

the country.

We believe that through the support of community, family/whanau and school if players are given

opportunities such as these, they are able to demonstrate the vibrancy of our area and lifestyle,

learn from the experiences and bring back this learning to add value, connections and experience to

the region. This increased richness, talent and diversity coupled that young people can absorb and

benefit from coupled with opportunities to grow and challenge themselves makes Feilding an

amazing place to raise a family.


$ 5 What is the total cost to attend the event -

s [,06 What level of funding are you requesting from Council?


' I ype of Date of result Amount • Applied or

Confirirtd

Date applied Source of funding funding e.;. grant

s 5c 0

s

s

U, fa - r i l iS i i T l f i i .

4. Declaration

[xf The details in ail sections of the application are true and corit-ct to the best of my knowledge.

[2 All reasonable information has been provided to support our application.


0 is bound by the Local Government Official Information and Meetings Act 1987.

0 We also consent to it recording the personal contact details provided in this application, : etaining and using these details.

Ej We understand that our name and brief details about the event and where appropriate, a photograph, may be released to the media or appear in Council documentation

[7\ This consent is given in accordance with the Privacy Act 1993

Page 3 Representative Grant Application Form


M Name (O 5 I 1/0,

/ 04 ; Signature JL-

a $ j Dale

Conditions of Funding 5.

Council must be acknowledged a s a partner and funder.

All recipients of funding agree to provide a brief vci 1 , to Council, as part of Its

Public Forum, on the benefits of their participntiC!.(tie • pe i.'i- d event.

( If possible, an appropriate photograph to be provided w:!h r m application that may be

used in Council publications.

Final Check 6.

Make sure you have

j 1 Ccmpieted ail the sectir •:>.

Provided financial details

|_| Attached supporting/selection documents (

Need H e l p ?

Please contact the following if you need advice on your application

lanine Hawthorn Community Development Adviser

Manawatu District Council Private Bag 10-001 Feilding 4743 Telephone 06 323 0000 Email: jamne.hawthorn(a,mdt.govt.nz

Representative Grant Application Form Page 4

FAHS T; (06) 323 4029 F; (06) 323 'rÔ

E: [email protected] Feilding High School 5

Jo

I ' M Ghurcher Street Feilding 4702, New Zealand

Principal: Mr M.J, O'Grady JP B.Agr, HSDipM Adniinl iC.tii, Dip.tchg


12,h September 2017

Dear Board Members,

On behalf of FAHS - Feilding High School, I endorse the application made to The Manawatu District Council Representative Fund for the purpose of assisting to fund travel costs lor the Boys' U15 Rugby 7s teams to attend the National Secondary School's 7s Finals in Auckland.

Yours faithfully,

fM/rp MARTIN O'GRADY, Principal

h -Hirepool Quotation - PNQ 237 VEHICLE RENTALS

07/09/2017 GST 94-235-014 Date

10:08 Time Tel, (06)357 1160

Details Quotation Locations

01/12/20;/ 08:00 Dale Out Driver FEILDING HIGH SCHOOL

Palmersfon Sorth

36b Ranginkei Street

Palmerston ôrttl

Licence Numbe Unkncw- Locarion Out

Address Phone No 0223621£/C

"12 Fax

Flight No Phone 106)357 1160

08 00 Date In 05/12/2017 Account 96

Palmerstoo North FEILDING HIGH SCHOOL Location In

Address 36S Rangitikei Street

Palrrerston North

(06)357 1160

4412 Group

Rate Plan Details 0001

MBUSID Minibus 12 l-iggCagc-

Chone i attf-isu.*

Rate

GST Total (£«l GST) Descricfioo

13S.00

Total

Days $8100 $621 00 4 so or

Free Km* Ul>

$960 $73 60 lnvuranc« ti C . 16 00

OWR Fcc/Delivery/Collcct GOO

1

1

S694 60 | Total $90.60 604.00

Deposit Received

Restrictions/Requirements/Messages

Restrictions;

Requirements

I Messages:

User DANBURR Signature

CONDOR

% Condor Rugby Football Club

PO Box 9023, Newmarket

Auckland

Feilding High School

1 Churcher St

Fielding 4702

Monday, 25 September 2017

To whom it may concern

This year the Condor Sevens , the National Secondary Schools Sevens

Finals will take place at Sacred Heart College in Auckland.

The U15 Tournament will take place on Thursday and Friday November

30th and December 1st.

The Open division will take place on Saturday and Sunday Decemeber 2nd

and 3rd 2017.

We would like to officially invite the Feilding High School teams. This

includes U15 boys and girls and the Open boys and Girls teams.

Yours sincerely

Phil Gaze Tournament Director

Ph 021 190 1900 [email protected]

a D

one

CO

ND

OR

nat

iona

ls -

boy

s.xl

sx

U19

CO

ND

OR

NA

TIO

NA

LS

BO

YS

I 1

9 R

UG

BT

RIP

3

Sai

urda

y 2n

<I &

Su

nd

ayb

rd D

ecem

ber

F riday

1m D

ecem

ber &

Ivio

nduy

3rd

Dec

embe

r F

riday

Isi

Dec

embe

r -

Sun

day

3rd

Dec

embe

r

Pla

y T

rave

l

Acc

om

modalio

n

(.1 n

ighls

l

Acc

om

od

atio

n &

Food

'2 p

laye

rs

3 M

afl

3 ni

ghts

3 n

ight

s S

I00 p

er n

iph

l S

I00 p

crm

ghl

3A00

.<«)

900.

00

i^((

0.'i

(i

Tra

vel

Vlin

ivan

s

Min

i va

n fu

el

l :<

i .S

70()

each

$0.2

5 pe

r km

1400

.00

Sf.0

0.00

20

00.0

0 12

00 k

m

per v

an

Mls

c S

I0 p

er p

laye

r pe

r pla

ying d

ay

240.

00

Kn

try I c

es

U19

s 70

0

FO

I \l

CO

SIS

74

40.0

0

Com

pet

play

er

(cam

of

i 2

(.20

IN DOC No ^<4-yO. V

FILENo.: G/oQ "ON 31W

o OMOOQ NJ

FAHS Feilding High School

T: (06) 323 4029 F:

eildinehigh.schoo! mn' *

* '

Churcher Street Feilding 4702. New Zealand

Principal: Mr M.J. OGrady JP B.Agr, PGDipl'dAdminlx-od, Dip.Tchp


12th September 2017

Dear Sir/madam.

On behalf of FAHS - Feilding High School we wish to present an application towards helping us

fund costs associated with helping our U19 boys' rugby 7's teams attend the National Secondary

Schools 7's Finals in Auckland from SO"' November- 4th December 2017.

Who wc arc: FAHS - Feilding High School was formed in 1921 and serves the educational needs of high school students in Feilding and its surrounding rural areas. The school has a roll of 1400. and works with the mission of providing the foundation of learning for life. All students are given an education that enhances their learning, builds on their needs and respects their dignity. This education challenges them to achieve personal standards of excellence and to reach their full potential.

FAHS - Feilding High School has a reputation for offering a wide variety of sports opportunities for students with excellent facilities and high quality coaching. This has resulted in students engaging in sport and competing at a high level both locally and nationally, and developing fine leadership, teams-man-ship and self-motivational qualities.

What we want to achieve: To send our boys' U19 rugby 7's team to participate in a national event that will see them compete at a high level, increase their skills and learn and grow as a team.

What we would like your partnership with: Helping us cover costs for transport to the event which would significantly reduce parental contribution and fundraising efforts which may be a barrier to participation.

In support of this application I include the following documents:

1. Budget 2. Quotes 3. Selection Documentation. 4. Bank deposit slip.

Thank you very much for the opportunity to apply to the fund. We sincerely hope that you find yourselves in the position to support us.

If there arc any questions regarding this application, please contact mc on 06 323 4029.

Yours sincerely

/

MARTIN O'GRADY Principal

Representative Grant

Application Form

Purpose

The purpose of Representative Grant is to provide linancial support for those Manawatu District residents who have been selected to rcprescnl the district, region or New Zealand in the held of arts, sport or culture to enable them to participate and to be an effective ambassador in our

community.


SUiuc ll-'ull name

CM A*, 40V1 Daytime phone number

CU-^CHlLK jstreet/l'O Box

frown Postcode

jEmail . ScW t c * , -V1

2. Event Information (please attaci dditional sheets if reqursd

Provide a brief description of the event you or your team/group have been selected for,

including the date the event is to begin and the venue where the event is to take place. Please attach documentation confirming your selection

! ij 1 ^ UMiCfyAc Sotexj, V

M Ucw - V'H

Event Location:

Regional Event Name:

srional Event Dale:

'•tf'i national

m Page 1 Representative Grant Application Form

Event Description:

The Condors BoysNational Secondary School 7's Finals is a high level competition attended by almost

100 schools across the country. The competition has a rich 25 year old history and was originally

established 'to promote and foster the coaching of schoolboy and junior rugby in New Zealand',

Feilding High will be sending a boys U15 and U19 squad as part of this competition. This highlights

the depth and strength of beys rugby in FAHS, being able to iieid teams in both grades, which no

other Manawatu team was able to achieve.

Teams are eligible to participate in the National tournament by achieving qualification in the

regional tournament, which n Manawatu is held in March. The U19 team won the regional

qualifying tournament against seven local teams and now proceed to the fina!

Piay is of an exceptionally high standard giving players valuable national experience where nev r.--

pitted against some of the best players in the country and given the opportunity to grow as people,

as players and as a team. A tournament of this calibre also enables boys to experience travel within

New Zealand, that otherwise- they may not be able to achieve.

The boys team has had a successful history in the event, having reached the • rvais t'nree times. They

are, however, yet to win the elusive title. We can but hope that this is their year

in 2016, two U19 players were selected in the Condor National Secondary Schools Team that went

on to compete in an international tournament. Following on from this Vilimoni Karori went on to

represent New Zealand in the senior national 7s ter ;m and has been part ci that successful team ever

since.

How will your attendance at the event contribute to the Manawatu District Council vision

"connected, vibrant and thriving Manawatu - the best rural lifestyle in New Zealand" and to the

Regional Development Strategy aim "the best place to raise a family" ( Note: visit

www.mac.-.:. . 2 to get further information on the Council's vision and outcomes)

Feilding High-FAHS has an immense reputation for its quality of rugby for both male and female

players. Giving young players the opportunity to attend events sucn if these on a national level gives

them a forum to demonstrate the quality of play a small rural town can nurture and showcase this to

the country. Indeed, the U19's events are televised putting Feilding on the National rugby stage,

FAHS ex students are also on the Black Ferns squad, and the Women's World Cup featured Sara-

Goss and Amy Cokayne England, making these young women ambassadors for the town

We believe that through the support of community, family/whanau and school if players are given

opportunities such as these, they are able to demonstrate the vibrancy of our area and lifestyie,

learn from the experiences and bring back this learning to add value, connections and experience to

the region. This increased richness, talent and diversity coupled that young people can absorb and

benefit from coupled with opportunities to grow and challenge themselves makes Feilding an

amazing place to raise a family.


$ 1 ^ 0

5 i 6 0 What is the total cost to attend the event

What level of funding are you requesting from Council?


Dale of result Source of funding Type of

funding e.g. grant

An jnt Date applied

i Apr ed Co • m;d

i

-

^ f i c V w i l y S

* IJ h THIS 'S

rHu UuTihE.

4. Declaration

' _ The details in ;)ll sections of the application are true and correct to the best of my

knowledge.

£3 All reasonable information has been provided to support our appiic.ition.

We understand that the Manawatu District Council;

PH Is bound by the Local Government Official Information and Meetings Act 1087.

0 We also consent to it recording the personal contact details provided in this application,

retaining and using these details.

0 We understand that our name and brief details about the event and where appropriate, a

photograph, may be released to the media or appear in Council documentation.

This consent is given in accordance with the Privacy Act 1093.



I I0i - L r(\ H j - re ij J- A j Name t. I( JC 3 . d -

Signature

/

Date m


« Council must be acknovviedged as a partner and funder

All recipients of fundinc r.ii ee to provide •; r>rief verba! report to Counci!, as part of its Public Forum, on the beneii's oftheir participation at the specified event.

If possible, nr -.pprcpriate photograph to be provided -.vith tiie application that may be used in Counci! publications.

6. Final Check

Make sure you have

,PT Completed all the sections

pT Provided financial details

( 0 Attached supporting/selection documents

7. Need Help?

Please contact the following if you need advice on your application:

ianine Hawthorn

Community Development Adviser Manawatu District Council Private Bag 10-001 Feilding 4743 Telephone 06 323 0000 Email; [email protected]


FAHS T: (Ob) 323 4029 F: (06) 323 9359 Feilding High School E: [email protected] r5 lat

Churcher Street Principal; Mr M.J. O Cr.idy JP B.Agr. l1>Dipl dAdmmlA'.id. Dip.Tchg Feilding 4702, New Zealand I I >


12th September 2017

Dear Board Members.

On behalf of FAHS - Feilding High School, I endorse the application made to The Manawatu District Council Representative Fund for the purpose of assisting to fund travel costs for the Boys' U19 Rugby 7s teams to attend the National Secondary School's 7s Finals in Auckland.

Yours faithfully,

MARTIN O'GRADY, Principal

Hirepool Quotation - PNQ 224 VEHICLE RENTALS

GST 94-235-014 07/09/2017 Date

Time 10;09 Tel. (06)357 1160

aaMMMMMHOB

Details Quotation Locations

1 Driver FEILOING HIGH SCHOOt. 29/11/2017 Date Out 08:00

Licence Numbe Unknown Palmerston North

365 Rangiiikei Street

Palmerstor, North

: Location Out

Phone No 022362187C Address

Fax 4ilI2

Flight No Phone {00)357 1100

03/12/3017 Date In Account 96 08:00

FEILDII\i- HiGH 5CHOOI. Location In

Address

fn North

36b Hi'TOlpi

Group MBUS1D - Minibus 12 Lugg Cage •'j '- > North 4412

Rate Plan Details 0001 Phone ,'00)357 1160

Rate

Description Total (Excl GST)

540,00

GST Rale Total

5621.00 4 Djys i - 135.00 581.03

Free Kms ULK

573 60 59.60 Insurance 15.00 r-1 00

OWR Fcc/Delivcrv/Collect 000

Total $90.60 S694 60 604 00

Deposit Received

Restrictions/Requirements/Messages

Restrictions:

Requirefnents:

Messaees:

ft C

ON

DO

R n

atio

nals

- b

oys.

xlsx

D

one

U19

U

15

CO

ND

OR

NA

TIO

NA

LS

BO

YS

LIS

R

UG

BT

RIP

7

I May

ing

Thu

rsda

y 3(

Ith N

ovem

ber &

I'ritl

ay

ist

Dec

embe

r W

ed

ne

sd

ayN

nve

nih

cr

& S

alu

nla

y ?n

cl D

eOci

nhcr

Cam

brid

ge W

edne

sday

29t

h N

o\

embe

r A

uck

lan

d

Thu

rsda

y 3

0lh

Nov

embe

r - I

rui

av I

sJ IX

vem

be

r

Tra

vel

Acc

omm

odat

ion

(1 n

ighi)

(2 m

gh

ls)

Acc

om

od

atio

n &

Foo

d C

am

brid

ge

100

00

2-10

0.00

'VK

h't

12 p

love

rs

2 st

all*

S

100

per

nigh

t S

I00 p

er n

ight

7. n

igh

ts

2 n

igh

ts

MO

O 0

0

Tra

vel

Min

ivans

Min

i va

n fu

el

7(ii J

.00

S30

0.00

W

O. 0

0

I (t

ij

S7(M

) eac

h SO

25

per km

SO

70

|H r

km

I2(K

I km

I2IH

I km

C

ar A

fue

l IS

-1O

.00

Mlv

c S

IO p

er p

laye

r pe

r pla

ying d

ay

240

TK)

En

tr>

Fee

s U

I5s

350.

(M)

5330.0

0

I OT

A I

CO

S T

S

444.

17

Cos

t per

pla

yer

% CONDOR

% Condor Rugby Football Club

PO Box 9023, Newmarket

Auckland

Feilding High School

1 Churcher St

Fielding 4702

Monday, 25 September 2017

To whom it may concern

This year the Condor Sevens , the National Secondary Schools Sevens

Finals will take place at Sacred Heart College in Auckland.

The U15 Tournament will take place on Thursday and Friday November

30th and December 1st.

The Open division will take place on Saturday and Sunday Decemeber 2nd

and 3rd 2017.

We would like to officially invite the Feilding High School teams. This

includes U15 boys and girls and the Open boys and Girls teams.

Yours sincerely

Phil Gaze Tournament Director

Ph 021 190 1900 [email protected]

R E C E I V E D

2 7 SEP 2017 iNPOCMo j 2 (g>g>

F I L E N o . : jQ^ lQ Manawatu District Council

I I Representative Grant

Application Form '•V-'- --,

Purpose

The purpose of Representative Grant is to provide financial support for those Manawatu District residents who have been selected to represent the district, region or New Zealand in the field of arts, sport or culture to enable them to participate and to be an effective ambassador in our community.


GrvjuS Full name

cni 6lr* Daytime phone number

3(o OQGnpu Street/PO Box

fetidior Postcode H-no Town

-c cro Email


Provide a brief description of the event you or your team/group have been selected for, including the date the event is to begin and the venue where the event is to take place.

Please attach documentation confirming your selection

PiMSf tick

3C| V GêCfMC Hr Qc

Cc,x\b"r'<7^.

Regional Event Name:

National Event Date:

International v Event Location: i

• m Page 1 Representative Grant Application Form

Event Description:

Tw ^Cjg.CX'MU 'Vl'AtV o ^vor6Kp£ ^ o ^'e,i^*er

'OWV.UA o

•^cs^CO'ii

ooV.o^ tA VIIACV c o c*-\c)

VV^. VesV eVvVt cvvd Oct

fvc^ ^ Ur, VvWe^ C^d V ^r >V

VVjrVd "TttAcV

evoe^ UeU

2ca\a^ Tv>a.s. u.-.\\ V^J

M\ '^.OS

1 ^>\VCJ r

will your attendance at the event contribute to the Manawatu District Council vision the best rural lifestyle in New Zealand" and the

How "connected, vibrant, thriving Manawatu -

gional Development Strategy aim "the best place to raise a family"? (Note: visit mdc.govt.nz to get further information on Council's vision and outcomes)

Re www.

TV-e. rvy^-wôVM ^ a W^c.^ of- ^dMC-Vw^ Vr»c.fVA cN«*.s CM^VSAS,

VÔivxir.'^ < Oo'j Vâr, \i<u-i \)^,WV\(vou€0 O^cJ "jeiS "i S.'Jj'^cnV

T'WLW ^ C^d -ê. S^-êr

Votk a\ V CXWCOCH O VO^Q.

0^- rvii®.v, eocV*

o^cxia-'ce Vu^. OA^ Ot<u^^ eoe^V V,<^Vc^\i Ouc<\ciU?_ Vo CM^V^VS O t vjcAod'c^t

04 ^C-iNiVtA cv\tA WvcrioKjoVus Wîs. C» rvunWr o'-

VW xivxi- ^ VW re.^v^ of ^

VitîV^niVi W«_ VAUVCIWUWA CS ^ ^

Se/iei c.t

vS

l-N

K/.v-.v*. 1 oi^r c,C«t

H roisa. o 'TN.

Page 2 m Representative Grant Application Form


$ Soo What is the total cost to attend the event

$ 500 What level of funding are you requesting from Council?


Date applied Source of funding Type of Date of result Amount Applied or Confirmed

funding e.g. grant

$

$

$

4. Declaration

Pf The details in all sections of the application are true and correct to the best of my knowledge.

1 1 All reasonable information has been provided to support our application.


EZf Is bound by the Local Government Official Information and Meetings Act 1987.

0 We also consent to it recording the personal contact details provided in this application, retaining and using these details.

Ef We understand that our name and brief details about the event and where appropriate, a photograph, may be released to the media or appear in Council documentation.

pf This consent is given in accordance with the Privacy Act 1993.



A Name Cioov-.o -'-v-d

Signature

2b /o cilaO\7 Date

5. Condi t ions of Funding


Ail recipients of funding agree to provide a brief verbal report to Council, as part of its Public Forum, on the benefits of their participation at the specified event.

if possible, an appropriate photograph to be provided with the application that may be used in Council publications.

6. Final Check

Make sure you have

Q Completed all the sections

0 Provided financial details

FT] Attached supporting/selection documents

7. Need Help?

Please contact the following if you need advice on your application;


ft Representative Grant Application Form Page 4

Angus Claasen 36 Glasgow Terrace Feilding 0275359518

27 September 2017

My name is Angus Claasen and I have been selected for the New Zealand junior track cycling squad to compete in the 2018 Oceania Track Championships, to be held in Cambridge on the 20 th - 23th November this year.

The Oceania Track Championships is a premier national track cycling event. Held in rotation between Australia and New Zealand, This event will showcase the best Elite and U19 (Junior) riders from Oceania - all riding to win titles and for the juniors, selection for the World Track Championships.

tn addition to the Championships, there will also be a short build up phase for the squad inducing workshops and athlete development sessions in the days leading up to the competition.

The cost of the competing in these events is 'parent funded'. Cycling New Zealand will be funding some costs for this campaign (for example coach costs, vehicle costs) but each athlete will be required to fund some costs. The initial budget for this campaign will require an athlete contribution of $500 per rider and it is for this amount that I am making this application.

Attached to this letter is an outline for my cycling achievements to date. There is also a copy of my selection letter from Cycling New Zealand.

Thank you very much for considering this application. Should you have any questions, please do not hesitate to contact me on 0275 359 518.

Kind regards

Angus Claasen

Full Name Angus Claasen Date of Birth 17/05/2001 (16) Address 36 Glasgow Terrace Feilding

I started track cycling in 2015 and have been riding for 2.5 years I am the 2017 New Zealand Champion in the U17 500m Time Trial and 2nd in the Sprint (Qualified fastest in NZ - missing NZ record by 0.002 of a second) I have worked with my coach Ian Gray for 1.5 years. I am currently in Year 11, attending Palmerston North Boys High School. I also work part time at McDonalds Feilding. My greatest achievement to date has been my selection to ride for the NZ Junior Track Cycling Team at the 2018 Oceania Track Championships being held in November.

Results to Date:

Selection for the New Zealand squad for the 2018 Oceania Track Championships.

National Individual Cycling Champs 2017 3'd Hill Climb

New Zealand Track Cycling Nationals 2017 1st 500m Time Trial - 34.353 (Former winners include Olympian/World Champion sprinter Sam Webster and NZ track team rider Dylan Kennett) 2nd Sprint 1st Sprint qualifying - 11.222 (New WCNI Record) 2nd was - 11.530 2/1000th off NZ Record - 11.220 (Held by Jackson Ogle) (Former NZ record's include 4 time Junior World Champion Campbell Stewart's time of 11.297 and Sam Webster's time of 11.313)

4th Team sprint 7th Scratch Race 3rd Team Pursuit

Ppitriing Vplnrtrnmo RornrHc

U17 Standing 400m Lap New Record - 30.43

(Broke Came Groubes Record - 30.58)

U17 500m TT Record New Record-36.10

(Broke Campbell Stewarts record - 36.73)

U17 Flying Lap Record (400m) New Record 26.08

(Broke Campbell Stewarts record - 26.64)

U17 Flying 200m Record New Record 12.59

(Broke Jordan Castles record -12.86)

I also hold several of the current records for the U15 grade in Feilding.

WCNI Track Champs 2017 1st 500m TT 2nd Individual Pursuit 1st Sprint - New WCNI Record - 11.85 1st Scratch Race

River City Wheel Race 2017 (event run twice due to rain) New WCNI Record in Sprint Qualifying - 11.410 1s t U17 Boys Scratch 3 rd Open Sprint 20d Open Kerien

2016 North Island Schools Road and Track Champs 6th Road Race 5th Criterium 4th Team Sprint 2nd Team Pursuit 4th Points Race 1st Scratch race (North Island Champ)

WCNI Road Champs 2016 3rd Road Race WCNI TT 2nd TT (23:33)

WCNI Track Champs 2016 1st 200m Qualifying 1st 500m Time Trial 3rd Points Race 1st Scratch race

2016 Manawatu Track Season 1st Club Champ 1st Overall U17 Season

WCNI Track Carnival (November) 1st U17 Points Race 1st U17 Wheel Race I"6 U17 A Grade Kerien

Bike Manawatu Champs (October, November) 1st Bike Manawatu U15 Time Trial 15 Km TT (25:45 minutes) 1st Bike Manawatu U15 Hill Climb 1st Bike Manawatu U15 Road Race

P R I N C I P A L ? A P T \ E ^

iSAPL CYCLING W I N D O W S O L U T I O N S

N E W Z E A L A N D

7 September 2017

p

nd mgncwzc »V A Re: 2018 Oceania Championship Selection

Dear Angus,

This letter is to congratu ate you on your selection to the New Zealand squad for the 2018 Oceania Track Championships. The Championships will take place in Cambridge from 20 - 23 November 2017.

In addition to the Championships, we will be having a short build-up phase for the squad including workshops and athlete development sessions in the days leading up to competition. The details of this will be released in due course.

We will finalise the trave! and accommodation arrangements with you as soon as possible and communicate this with you as soon as this is completed.

Cycling New Zealand supports you prioritising NCEA exams during this period and asks that you carefully consider your acceptance to the team so as not to compromise your educat on. Where you are able to make alternative exam arrangements, we will support you in that. We have attached the Oceania Championship programme to assist you in making that decision.

Please confirm your selection by completing the following items. If you have completed these documents during 2016 for other campaigns you will not need to duplicate them.

• Acknowledgement of receipt of this letter and that you understand the conditions of this event

• The Cycling New Zealand Rider Rider Information Sheet (enclosed) • The Cycling New Zealand Rider Rider Medical/Physio Information Sheet (enclosed) • The Cycling New Zealand Rider Athlete Agreement - to be distributed later

Please email these to b r y a r -.sirnmondsiacvc ngnev.Z e a l a n d . n ; b y Wednesday 20 September 2017:

Once you have confirmed your selection we will send you our consent ind policy forms for riders, parents and personal coaches to be read, signed and returned as part of your selection, unless these have been previously completed.

Please contact me if you have any further questions. Congratulations! We look forward to working with you on this campaign.

s, SKODA SPORT HlOh PER FO R M A N C E MWJUxAfO

m Please contact me if you have any further questions.

CYCLING Kind regards

N E W Z E A L A N D .?*(£___ > -N

Graeme Hunn High Performance Athlete Development Lead, Cycling New Zealand

& SKODA HIGH PERFORMANCE Sioar SPORT ZCALANC

Representative Grant Funding Applications · 10/10/2017 · MOMCC Winter Cup 2014. 2016 Challenge Shield 2016 Chris Wells Memorial 2017 (Best upcoming junior) • ^ IXION EDUCATION

Documents